Respiratory failure due to achalasia cardia

Ali, Hydar; Murali, Ganesan; Mukhtar, Berjees

doi:10.1016/j.rmedc.2008.08.006

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Chronic interstitial fibrosis is conceivable over a period of time and is related to periodic aspiration. 9 In terms of anesthetic management, GETA is required for POEM. 10 Extended fasting time is often required (up to 48 h, depending on the degree of symptomatology, previous esoph-agogastroduodenoscopy [EGD] findings, and manometric studies) to minimize the risk of aspiration.…”

Section: Poemmentioning

confidence: 99%

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Anesthesia for Advanced Endoscopic Procedures

Goudra

Saumoy

2022

Clin Endosc

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The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the changing needs and demands. The challenges are unique. Complications arising from the procedures are both routine, such as aspiration and hypoxia, and procedure specific, such as bleeding, pneumothorax, pneumopericardium, and pneumoperitoneum. It is crucial for the anesthesia provider to have a good understanding of the techniques employed by the endoscopist. A higher index of suspicion is also essential to diagnose and appropriately manage many of the complications. In this review, an effort is made to discuss both procedural aspects and anesthesia challenges. We hope that both endoscopists and anesthesia providers will benefit from this review. Clin Endosc 2022 Jan 3. [Epub ahead of print]

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Section: Poemmentioning

confidence: 99%

“…Aspiration pneumonitis (acute and chronic), diffuse aspiration bronchiolitis, isolated bronchospasm, and aspiration pneumonia can occur in these patients. Chronic interstitial fibrosis is conceivable over a period of time and is related to periodic aspiration [ 9 ].…”

Section: Poemmentioning

confidence: 99%

Anesthesia for Advanced Endoscopic Procedures

Goudra

Saumoy

2022

Clin Endosc

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show abstract

“…2 Achalasia can cause both chronic respiratory failure and ARF by different mechanisms: aspiration pneumonia/ pneumonitis, airway obstruction secondary to aspiration or external compression, interstitial lung fi brosis, lung abscess and isolated bronchospasm. 3 In this context, the condition can be misdiagnosed as asthma. It remains resistant to treatment until achalasia is diagnosed and properly managed.…”

Section: Clinicalmentioning

confidence: 99%